Get the free N.C. DMA: Health Check Manual, Section I, County Options Change Request Form - ncdhhs

I. COUNTY OPTIONS CHANGE REQUEST FORMS (COCOA and CCORB) COCOA form (Appendix 8) is used to maintain a current directory of administrative, supervisory and HCC staff. This COCOA form must be submitted

How to fill out nc dma health check

How to fill out nc dma health check?

1. Visit the official website of the North Carolina Division of Medical Assistance (DMA).
2. Look for the health check form or application on the website.
3. Download and print the nc dma health check form.
4. Begin filling out the form by providing personal information such as name, address, and contact details.
5. Answer all the questions accurately, providing information about your health, medical history, and any existing conditions.
6. Make sure to fill in the required fields and provide any necessary supporting documentation.
7. Double-check your answers and review the completed form for any mistakes or omissions.
8. Sign and date the form.
9. Submit the filled out nc dma health check form through the designated submission method, such as mailing it to the provided address or submitting it online if applicable.

Who needs nc dma health check?

1. Individuals who reside in North Carolina and are seeking to apply for or renew eligibility for Medicaid or other health care programs administered by the North Carolina Division of Medical Assistance (DMA).
2. Those who meet the income, resource, and categorical requirements set by the DMA.
3. People who may require financial assistance or access to medical services provided by the state health care programs.
4. Individuals with disabilities, pregnant women, children, and the elderly who may be eligible for Medicaid coverage or other health care services.

For pdfFiller’s FAQs

What is nc dma health check?

NC DMA Health Check is a program in North Carolina that provides comprehensive health care services to low-income individuals and families who meet certain eligibility requirements.

Who is required to file nc dma health check?

Individuals and families who meet the eligibility requirements for the NC DMA Health Check program are required to file.

How to fill out nc dma health check?

To fill out the NC DMA Health Check application, you can visit the official website of the North Carolina Department of Health and Human Services and follow the instructions provided.

What is the purpose of nc dma health check?

The purpose of the NC DMA Health Check program is to ensure that eligible low-income individuals and families have access to comprehensive health care services.

What information must be reported on nc dma health check?

The NC DMA Health Check application requires information such as personal details, income information, household composition, and any existing health insurance coverage.

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